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General NPI Number Information
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NPI Number | 1396766358
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Entity Type | Organization
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Legal Business Name | HAAS PHARMACY INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 62 ORANGE TPKE
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City | SLOATSBURG
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State | NY
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Zip | 10974-2317
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Country | US
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Telephone | 845-753-9675
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Fax | 845-753-2414
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Provider Business Mailing Address
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Address Line | 62 ORANGE TPKE
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City | SLOATSBURG
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State | NY
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Zip | 10974-2317
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Country | US
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Telephone | 845-753-9675
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Fax | 845-753-2414
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Authorized Official
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Title or Position | OWNER
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Name | LARRY HAAS
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Credential |
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Telephone | 845-753-9675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 027742
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License Number State | NY
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